HomeMy WebLinkAboutR 2013-419 Health - Transit Advertising Town of Chapel Hill shall provide advertising for OCHD $2,400 ORANGE COUNTY—CONTRACT CONTROL SHEET
Routing Order: (1)Department,(2)IT,(3)Risk Management,(4)Financial Services,(5)Attorney,(6)Manager,(7)Clerk
This Document shall accompany all contracts and shall be submitted for signature in the Routing Order specified above. If the Manager
determines the contract is not appropriate for Manager approval the Manager shall submit the contract for BOCC approval. Contracts for
BOCC approval must be submitted through,and complete,the routing process prior to agenda review. Contracts for legal review should
be completed through the leg-al ieview process prior to being routed for signature.
Department
Party/Vendor Name: Transit Advertising Party/Vendor Contact:person: Chip Hutchinson Contact Phone: 919-696-4951 Party/Vendor
Address: 6900 Millhouse Rd City Chapel Hill State:NC "Lip: 275 16 Department: Public Health Amount: $2400.00 Purpose: Town of
Chapel Hill shall provide advertising for OCHD Budget Code(s): 10412020-680050 Vendor#41530 (N/A if new vendor) Vendor is
a BOCC consultant? Yes❑No® Contract Type: (Check one) New® Renewal [] Amendment ❑ Effective Date
Approved by Board Yes❑Nor-1 Agenda Date: Title of Contract: Transit Advertising
If this is a Grant Agreement,pre-application has been approved by the Board of Commissioners Yes❑No❑. If submitted for bid were
bids/RFPs received Yes❑No❑ Bid/RFP number This contract has been reviewed and approved by the Department Director as to
technical content:
Department Director's Signature: Date: /"� 17
IT Director
(Applicable only to hardware/software purchases or related services)This contract has been reviewed and approved by the Information
Technology Director as to technical content and information technology specifications:
IT Director's Signature: ------- Date:
Risk M_-ir^anent CA �Y
Include the following coverages: ❑ CGL; ❑ Auto; ❑ WC; jJ Pioiessiouai; [I Property; OR No Insurance Required Y[r./Hold
Contract pending receipt of Certificate of Insurance [R]. With ii,corpoi ido., of Insurance provisions as shown,this contract is approved
by the Risk Manager:. f
Risk Manager's Signature: /"� ---- --- Date:
�lzco
Financial Services
This Contract is conditioned on appropriation by the Board of Commissioners Yes❑N& A budget amendment is necessary
before approval Yes❑NoIf budget amendment is necessary, please attach to this form. This instrument has been pre-audited in the
manner required by the Local Government Budget and Fiscal Control Acct:: I ,,J
,�, C,. A Financial Services Director's Signature: A11— Date: 10/
County Attorney
Approval by Board ❑ (Contracts $90,000.00 or more for goods or services, $250,000.00 or more for construction, or any BOCC
consultant contract). Approva by Manager[X(Most other contracts$1,000 and above). Department Director approval only❑ (Under
$1,000). This contract has be evie a and approved by the Attoriey as to legal form and sufficie cy:
Attorney's Signature
Date:
C(1li Il�.yl 5111�t�r_e r
This contract has been reviewed and is prov d by the Count.) f�la�;., e. Yes ;`Jo❑.
This contract has been reviewe d i r si n ture b the C it Yes�-�;vo❑.
Manager's Signature: Date: d /� X/7
Clerk to the Board
Approved by BOCC on the_day of 20 . Submitted for Chair signature on the_day of 20
Clerk's Signature: Date:
Revised March 2012